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A pragmatic, quasi-experimental (non-randomized) design was used to evaluate clinical and cost outcomes among patients with type 1 or 2 diabetes (T1D or T2D) at two primary care clinics (n=1 intervention, n=1 usual care) between March 2012 and September 2014. At the intervention clinic, the 12-month Cardio-metabolic Care-Team Intervention (CMC-TI) was delivered to all qualifying patients; surveys were administered to evaluate relevant patient-reported outcomes over 12 months, and a process evaluation gauged CMC-TI feasibility and satisfaction.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CMC-TI | Cardiometabolic Care Team Intervention |
| |
| Non-Intervention Comparator site | Non intervention comparator site with usual care |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cardometabolic Team Intervention | Behavioral | The CMC-TI team included a registered nurse/certified diabetes educator (RN/CDE) Care Manager, medical assistant (MA) Health Coach, and RN Depression Care Manager. Decision support tools guided therapy for glucose, BP, low-density lipoprotein cholesterol (LDL-c), and depression. At the intervention clinic, the 12-month CMC-TI was delivered to all qualifying patients; surveys were administered to evaluate relevant patient-reported outcomes over 12 months. |
| Measure | Description | Time Frame |
|---|---|---|
| HbA1c | Change in HbA1c between Intervention and Comparator sites | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Hospital/ER costs | 12 months | |
| LDL | Change in LDL between Intervention and Comparator sites | 12 months |
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Inclusion Criteria:
Exclusion Criteria:
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- All patients with type 1 and type 2 diabetes within two primary care clinics at Scripps Coastal Medical Group.
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|
| Blood pressure |
Change in blood pressure between Intervention and Comparator sites |
| 12 months |